上消化道内窥镜检查中内窥镜图像价值的观察者间可变性-我们中心的经验

Q4 Pharmacology, Toxicology and Pharmaceutics Acta Marisiensis - Seria Medica Pub Date : 2023-06-01 DOI:10.2478/amma-2023-0015
I. Bernatchi, S. Voidăzan, M. Petrut, Gabriella Gábos, Mădălina Bălășescu, C. Nicolau
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摘要

摘要目的:内窥镜检查是一个必不可少的和宝贵的诊断工具,在每个胃肠病学家的武器库。ESGE提出了上下胃肠道内窥镜标准化图像记录的附加指南。临床分歧在大多数医学领域(如果不是全部的话)都是一个常见的挑战。解决分歧是很重要的,这样才能找到最小化分歧的方法。胃镜检查的临床差异可以通过研究观察变异性来证明。方法:我们回顾性招募120例随机患者,这些患者于2021-2022年间在我消化内科接受了常规上消化道内窥镜检查,所有患者均由一名内窥镜医师进行。作为研究的一部分,所有的内窥镜录像都存储在一个内部服务器上。为了研究观察者之间的差异,四名医生(内窥镜医师和胃肠病学专家)被邀请完成问卷调查。结果:在我们的研究中,对食管的评估从中等到非常好,在回答有关特征发现的问题时,一致性最高,如粘膜正常、食管炎A级洛杉矶、食管内镜评估的裂孔疝、胃窦良性溃疡生态位、胃主体粘膜正常、肠化生和胃主体血管发育不良。关于十二指肠第一段和第二段粘膜萎缩的问题是最难达成一致的。结论:本研究发现,在我们中心接受常规上消化道内窥镜检查的患者所获得的图像评估中,观察者之间的可变性是可以接受的。
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Inter-observer variability on the value of endoscopic images for the documentation of upper gastrointestinal endoscopy - our center experience
Abstract Objective: Endoscopy is an essential and invaluable diagnostic tool in the arsenal of every gastroenterologist. ESGE presented additional guidelines for standardized image documentation in upper and lower gastrointestinal endoscopy. Clinical disagreement is a common challenge in most, if not all, fields of medicine. Settling disagreements is important so as to find ways to minimize it. Clinical disagreement in gastroscopy may be demonstrated by studying the observer variability. Methods: We retrospectively recruited 120 random patients that underwent conventional upper gastrointestinal endoscopy between 2021-2022 in our Department of Gastroenterology, all of them performed by one endoscopist. As part of the study, all video-endoscopic recordings were stored using one internal server. In order to study interobserver variability, four physicians (endoscopists and gastroenterologist specialists) were invited to complete the questionnaire. Results: The interob-server variability in our study ranged from moderate to very good in the assessment of the esophagus, with the highest degree of agreement in response to questions concerning characteristic findings such as normal mucosa, esophagitis Class A Los Angeles, hiatal hernia for the esophagus endoscopic evaluation, benign ulcer niche in gastric antrum, normal gastric corpus mucosa, intestinal metaplasia and angiodysplasia in gastric corpus. The question on atrophic mucosa in the first and second part of the duodenum was the most difficult to agree upon. Conclusion: The present study found that the variability between observers in the assessment of images obtained from patients that underwent conventional upper gastrointestinal endoscopy in our center was acceptably good.
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Acta Marisiensis - Seria Medica
Acta Marisiensis - Seria Medica Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)
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24 weeks
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